Homestead_Montgomery (3) H. PREPARER __-- ------
t- Preparer of the Sales Disclosure Form Title
KellY L.Norton Settlement Agent
_. . .-
Company E-mail address
I1 Address(number and street city.state.country,and ZIP Code)
i 4799 Rosebud Lane,Newburgh,IN 47630u -_- --- _- ---_______ _
I.sELLER(S)/GRANTOR(S) •••�������� ��ryry
` Setter 1-Name as it appears on conveyance document { Seiler 2-Name as con y nt
. Montgomery Family Farms,Inc. ___--__ r�JJ 1■J/ ---
I - - Address(number and street)
Address(number and street) '
4 123_77 S 400 w _ -._ JUL 21.2022__ --a
City.state,and ZIP Code City.state,and ZIP Code
LHaubstadt, IN 47639 - - --- i
-
4 Country Country (�,IgSON COUNTY AUDITOR
US -!
, gognat of Seller ...
_,‘, 5e...__2____j,.._,e___
Print of Seter jed Name of Seller 'oaf.;signed(mmlddyyyyl i Printed Nam f f eller Date signed(mm/dd/yyy)
Sarah Armstrong, J 07/15/2022 Nancy Rr 07/15/2022 —}
J. BuYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2ame as it appears on conveyance document
IC Address Robert O.(nurrrm Montgomery(number andand street) _-,.--- ynthi Montgomery - ----
-__ -e_• --.- ----- - I Address(number and street)
12377 S 400 W , 12377 S 400 W
City.state.and ZIP Code ( City,state and ZIP Code
Haubstadt,IN 47639 Haubstadt, IN 47639
Country -- I Country
` US US
appy for certain deductions-Identify all of those that apply
__ ._,.. -.. .. __. -----_._ --._ YES NO CONDITION
,YES NO CONDITION
11.Will this property be the buyer's primary ® 0 3.Homestead
® O residence? O al 4.Solar Energy Heating or Cooling System
T 2.Does the buyer have a homestead to be vacated 0 ( 5.Wind Power Device
0 ® for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) , 0 ® 7-Geothermal Energy Heating or Cooling Device
FC-rty.state.ZIP code,and county I V b-2_7--1 6- l O O -0 O O.4-3 2 -O 2-(-I .
r Under penalties of perjury.I hereby certify that this Sates Disclosure,to the best of my knowledge and belief.is true.correct and compiete
1 es required by law.and is prepared in accordance with IC 6-1.14.S.A person who knowingly and intentionally falsifies the value.of
--__ _